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    OpenPayerNPI Medicare & MedicaidEvan Simonson
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    Evan Simonson — Billing Profile & Reimbursement Data

    NPI 1699063743 · Prescott, AZ · Orthopaedic Foot and Ankle Surgery Physician

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    Evan Simonson is a orthopaedic foot and ankle surgery physician provider located in Prescott, Arizona. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEvan Simonson
    Address1223 Willow Creek Rd
    CityPrescott
    StateAZ
    ZIP86301
    TaxonomyOrthopaedic Foot and Ankle Surgery Physician
    NPI EnumeratedJuly 11, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$141.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…540$90$48.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…240$110$26.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.690$20$16.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…250$60$15.8K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$160$6.7K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.220$30$5.7K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$370$5.6K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$190$4.1K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…50$60$3.2K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…70$40$2.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2875081020$1,410$28.2K
    992141,25710,410120$80$20.6K
    28285114030$420$15.6K
    992131,7929,60080$60$9.6K
    20680104020$440$8.9K
    992041675,79040$110$6.7K
    992032,7894,10040$70$4K
    2060693030$60$2.7K
    20604183030$60$2.4K
    73630561060$20$2.2K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Evan Simonson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard BassettAZAdult Reconstructive Orthopaedic Surgery Physician$634.5K$0
    Michael DobsonAZSurgical Physician Assistant$260.4K$0
    Paul PfluegerAZOrthopaedic Surgery Physician$235.1K$0
    Wilford RichardsonAZOrthopaedic Hand Surgery Physician$206.6K$0
    Eric ClelandAZPhysical Therapist$161.8K$0
    Megan SitrinAZNurse Practitioner$114.8K$0
    Mark ThieleAZPhysician Assistant$104.8K$0
    Mackenzie PriceAZPhysician Assistant$77.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Evan Simonson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yavapai Community Hospital AssociationAZGeneral Acute Care Hospital$0$66.2M
    Prescott Healthcare Solutions LLCAZFamily Medicine Physician$0$13.3M
    Summit Behavioral Health Of Az, LLCAZSubstance Abuse Rehabilitation Facility$0$13.3M
    Medical Services Of Prescott, Inc.AZEmergency Medicine Physician$0$12.3M
    Prescott Whipple StageAZTaxi$0$9.2M
    Iyad HamarnehAZMedical Oncology Physician$3.5M$0
    Alan LangerakAZHematology & Oncology Physician$2.7M$0
    Allan Espinosa MorazanAZMedical Oncology Physician$2.2M$0
    Prescott Outpatient Surgical Center LLCAZAmbulatory Surgical Clinic/Center$1.7M$25.7K
    Arizona Institute Of Eye Surgery LLCAZAmbulatory Surgical Clinic/Center$1.4M$24.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Evan Simonson — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona